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Individual

DEBORAH LYNN THROESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QBHP, RNP

Contact information

Practice address
2305 OLD COUNTY RD, POCAHONTAS, AR 72455-4148
(870) 892-1005
(870) 892-0078
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AR
363LA2200X
Adult Health Nurse Practitioner
P01447
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PO1447
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127941002
AR
05
216812795
AR
Enumeration date
03/30/2006
Last updated
05/02/2022
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